Current situation and influencing factors of moderate and severe procedural pain after surgery in surgical Intensive Care Unit
10.3760/cma.j.cn115682-20220622-03015
- VernacularTitle:外科重症监护病房患者术后中重度操作性疼痛发生现状及影响因素分析
- Author:
Na LI
1
;
Zhihong TANG
;
Jing XU
;
Yongming TIAN
Author Information
1. 四川大学华西医院重症医学科/四川大学华西护理学院，成都 610041
- Keywords:
Intensive Care Unit;
Surgery;
Postoperative period;
Pain, procedural;
Current situation;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2023;29(2):198-203
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current situation of moderate and severe postoperative procedural pain in surgical Intensive Care Unit (ICU) patients and analyze its influencing factors.Methods:This study was a cross-sectional study. From June 2021 to February 2022, 380 postoperative patients admitted to the surgical ICU of West China Hospital of Sichuan University were selected by convenient sampling as the research object. A self-designed Postoperative Procedural Pain Questionnaire for ICU Patients and the Numerical Rating Scale (NRS) were used to investigate the patients. Binomial Logistic regression was used to explore the influencing factors of moderate and severe postoperative procedural pain.Results:The incidence of moderate and severe postoperative procedural pain in 380 ICU patients was 72.63% (276/380) . A total of 52.17% (144/276) patients actively reported moderate and severe procedural pain, and 47.83% (132/276) patients chose to conceal or endure moderate and severe procedural pain. The results of binomial Logistic regression showed that gender ( OR=13.763, P<0.01) , history of chronic pain ( OR=2.363, P<0.05) , number of drainage tubes ( OR=1.297, P<0.01) , and the score of Acute Physiology and Chronic Health Evaluation ( OR=4.137, P<0.01) were the influencing factors for surgical ICU patients to have moderate and severe postoperative procedural pain. Conclusions:The incidence of moderate and severe postoperative procedural pain in ICU patients is high. Medical and nursing staff should formulate targeted interventions according to the influencing factors of patients ' procedural pain.
